It was reported that a 2-year-old child underwent treatment for kidney stones, and the family suspected that this was related to the child’s excessive intake of tofu in their daily diet. This incident sparked widespread public discussion about the relationship between tofu and kidney stones.
So, does eating tofu really lead to kidney stones? To answer this question, we delved into the causes of kidney stones, the impact of dietary habits on them, and how to scientifically prevent kidney stones.
I. Causes and Types of Kidney Stones
Kidney stones are a common condition in the urinary system, referring to solid masses formed in the kidneys due to the abnormal aggregation of certain components in the urine.
The causes of kidney stones are complex and diverse, mainly including excessive levels of certain components in the urine, imbalance in urine pH, and urinary tract infections. Based on their composition, kidney stones are mainly classified into calcium oxalate stones, calcium phosphate stones, uric acid stones, and other types.
II. Misunderstandings Between Tofu and Kidney Stones
Tofu, as one of China’s traditional foods, is highly praised for its rich protein and nutritional value. However, there are some misconceptions in society about the relationship between tofu and kidney stones.
Some people believe that the calcium in tofu can combine with oxalic acid to form calcium oxalate stones, thereby increasing the risk of kidney stones. In fact, this view is not comprehensive.
Experts from the Nutrition and Food Safety Department of the College of Food Science and Nutritional Engineering at China Agricultural University point out that although tofu contains a certain amount of oxalic acid and calcium, tofu is not the culprit behind kidney stones. Firstly, after the calcium in tofu combines with oxalic acid, it is not easy to form stones.
This is because during the production process of tofu, some oxalic acid is removed, and the calcium in tofu exists in a bound state, which is not easily absorbed by the human body, thereby reducing the risk of stone formation.

III. The Relationship Between Dietary Habits and Kidney Stones
The formation of kidney stones is closely related to dietary habits. Unreasonable dietary habits can increase the risk of kidney stones. Here are some dietary habits associated with the formation of kidney stones:
Inadequate water intake: Inadequate water intake is one of the main causes of kidney stones. When the human body does not consume enough water, the urine becomes concentrated, and the solute concentration in the urine increases, thereby increasing the risk of stone formation. Therefore, maintaining adequate water intake is crucial for preventing kidney stones.
High-oxalic acid diet: Oxalic acid is one of the main components that form calcium oxalate stones. Some foods, such as spinach and beans, contain high levels of oxalic acid. However, this does not mean that these foods cannot be consumed. Reasonable cooking methods, such as blanching, can reduce the oxalic acid content in food.
High-purine diet: Purines are the main source of uric acid in the body. A high-purine diet can increase the uric acid level in the body, thereby increasing the risk of uric acid stones. Therefore, gout patients and kidney stone patients should avoid high-purine diets as much as possible.
High-salt diet: A high-salt diet can increase the sodium ion content in the urine, thereby increasing the calcium ion concentration in the urine and promoting stone formation. Therefore, maintaining a low-salt diet is important for preventing kidney stones.
IV. How to Prevent Kidney Stones Through Diet
The key to preventing kidney stones lies in adjusting dietary habits to reduce the risk of stone formation. Here are some effective dietary prevention strategies:
Maintaining adequate water intake: Maintaining adequate water intake every day is the foundation for preventing kidney stones. It is recommended to consume no less than 2,000 milliliters of water per day, and appropriately increase water intake in situations such as hot weather and increased physical activity. At the same time, excessive consumption of sugary drinks and coffee should be avoided.
Balanced diet: Maintaining a balanced diet is crucial for preventing kidney stones. Foods rich in minerals such as calcium, magnesium, and potassium, such as milk, tofu, and green leafy vegetables, should be consumed in moderation. These foods help reduce the concentration of oxalic acid in the urine, thereby reducing stone formation.
At the same time, excessive intake of high-oxalic acid, high-purine, and high-salt foods should be avoided.
Reasonable cooking methods: Reasonable cooking methods can reduce the oxalic acid content in food. For example, blanching vegetables rich in oxalic acid, such as spinach, can significantly reduce their oxalic acid content. Additionally, choosing traditional brine tofu or gypsum tofu products can also help reduce oxalic acid intake.
Controlling protein intake: Excessive protein intake can increase the levels of calcium, oxalic acid, and other substances in the urine, thereby increasing the risk of stone formation. Therefore, protein intake should be reasonably controlled, especially the intake of animal protein. It is recommended to consume no more than 150 grams of meat per day.
Moderate vitamin C supplementation: Although vitamin C is beneficial to the human body, excessive intake can increase the oxalic acid content in the urine. Therefore, when supplementing vitamin C, the intake should be controlled in moderation to avoid excessive intake.
Regular check-ups: For individuals with a history of kidney stones or a family history of kidney stones, regular urinary system examinations should be conducted to detect and address stone issues in a timely manner.
V. Case Study: Clarifying the Misunderstanding
Returning to the case mentioned at the beginning of this article, the reason for the 2-year-old child’s kidney stones was not solely due to excessive tofu intake. After doctors inquired about the child’s medical history and dietary habits in detail, they found that the child had low water intake and a preference for sweet and meaty foods.
These factors collectively led to issues such as urine concentration and increased oxalic acid concentration, thereby increasing the risk of kidney stones. Therefore, for this child, adjusting dietary habits and increasing water intake are crucial preventive measures.
VI. Conclusion
Tofu, as a nutritious food, is not the culprit behind kidney stones. The key to preventing kidney stones lies in adjusting dietary habits, maintaining adequate water intake, and reasonably controlling protein and vitamin C intake. By adopting scientific dietary prevention strategies, we can effectively reduce the risk of kidney stones.
Meanwhile, for individuals with a history of kidney stones or a family history of kidney stones, regular urinary system examinations are also an important means of prevention. Let us abandon the misconceptions about tofu and enjoy a healthy and delicious life!
This article aims to clarify the misconceptions in society about the relationship between tofu and kidney stones and provide scientific dietary prevention strategies. By deeply analyzing the causes of kidney stones, the impact of dietary habits on them, and how to prevent kidney stones by adjusting dietary habits, we hope to help readers establish correct health concepts and lifestyles.
At the same time, we also encourage readers to consult professional doctors or nutritionists for advice when encountering health issues.